Utilization Management

Facilitate payer-provider communication for smoother patient transitions

Utilization management is a critical component of the patient journey.

 An inefficient process can result in longer lengths of stay, increased administrative denials, and a disconnect between hospitals, health plans and post-acute providers.

56

%

Decrease in denial rate by Bronx-Lebanon hospital

20

%

more completed authorizations
*Results experienced by some CarePort customers
Overview : Utilization Management

Electronically share clinical information between providers and health plans to expedite authorization requests and better identify level of care determinations. 

  • Facilitate payer-provider communication to send post-acute authorization and custom forms electronically through an automated workflow
  • Identify inpatient or observation stay patients automatically
  • Triage clinically complex patients and easily identify non-outlier patients

Overall benefits:

CarePort’s Product Suite

Guide

Connect

Insight

Care Management

Transition

Referral Management

CarePort Guide

Guide patient decision-making during discharge and increase referrals to top-performing providers

CarePort Connect

Track and manage patients across the continuum to improve outcomes and spend

CarePort Insight

Assess outcomes using objective, real-time and automated reporting

CarePort Care Management

Power care transitions through a robust post-acute network and streamlined care management workflows

CarePort Transition

Create, manage and send post-acute referrals embedded directly within your EHR

CarePort Referral Management

Receive, respond and review all patient referral activity in a single electronic system

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